

<form class="layui-form" lay-filter="layuiadmin-form-smsput" id="layuiadmin-form-smsput" style="padding: 20px 30px 0 0;">
  <div class="layui-form-item">
    <label class="layui-form-label">充值条数</label>
    <div class="layui-input-block">
      <script type="text/html" template>
        <input type="text" name="balance" lay-verify="required|number"  placeholder="请输入充值条数" autocomplete="off" class="layui-input layui-bg-gray">
      </script>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label"></label>
    <div class="layui-input-inline">
      <input type="button" lay-submit lay-filter="LAY-app-smsput-submit" value="立即提交" class="layui-btn">
    </div>
  </div>
</form>

<script>
layui.use(['index', 'form'], function(){
  var $ = layui.$
  ,form = layui.form;
  
})
</script>